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An elevated level of glucose in the blood during pregnancy

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<p>Yes! Pregnancy can indeed turn out to be a memorable as well as the most beautiful part of your life. Before you start preparing yourself for a new beginning, it may be vital to make a few changes in your lifestyle and daily routines. You may have to change numerous things for the healthy development of your baby. However, to make such changes, one will need to analyze the condition of their body and undergo a few tests and scans during pregnancy.</p>

<h2><strong>Why Must A Woman Undergo Scans During Pregnancy? </strong></h2>

<p>During pregnancy, every woman&rsquo;s body functions in a different manner. Therefore, to track the constant changes happening in a pregnant woman&rsquo;s body, she may have to undergo a few pregnancy tests. These tests help to ensure the baby&rsquo;s good health. Apart from that, these pregnancy tests also help to detect the presence of any underlying health problems. Therefore, it thus becomes essential for you to undergo tests and scans during pregnancy.</p>

<p>Although most of the tests may be optional, it is a recommendation that you do not skip any of them. As you move forward in the beautiful journey of your pregnancy, your doctor will recommend several scans and tests for the well-being of you and the baby. Towards the end of the second trimester, you must not miss some crucial tests. Let&#39;s learn more about them:</p>

<h3><strong>Anomaly Scan </strong></h3>

<p>An anomaly scan helps have a close look at your cervix, uterus, and baby. It helps to observe the baby&rsquo;s growth and development and detect any congenital disabilities or structural problems. Usually, this test takes place when you are 20 weeks pregnant. It is also known as a Morphology scan, and the sonographer can check the position of the placenta besides looking at the baby&#39;s movements.</p>

<p>The doctor will advise you to drink lots of water and avoid passing urine before the scan. The doctor will allow you to enjoy the view on the screen and will later hand over the video recording on a CD also. Seeing your baby on screen is a treat for the eyes.</p>

<h3><strong>Other Monitoring Tests </strong></h3>

<p>You will undergo blood tests, urine tests, fetal anomaly scan, sugar tests, blood pressure levels, and other ultrasound scans several times during your pregnancy. Don&#39;t get anxious because all these tests are for your safety and the unborn child&#39;s well-being. The doctors monitor and track the growth and development of the baby, and if there is something fishy, they inform the parents and counsel them for treatment or termination of the pregnancy if required.</p>

<h3><strong>Body Check-up Test </strong></h3>

<p>Besides regular check-ups at your gynecologist&#39;s clinic, the doctor will examine and check your belly size, the heartbeat of the baby, protein levels, urine glucose levels, weight, edema (swelling on your hands and feet if any), levels of amniotic fluid, and the bones of the baby, etc.</p>

<p>The doctor will check the structure and shape of your baby&rsquo;s head (HC), neck, cleft lip, baby&rsquo;s spine, baby&rsquo;s abdominal wall (AC), thigh bone, baby&rsquo;s heart, baby&rsquo;s kidneys, feet, legs, arms, and hands. It is imperative to monitor the position of the baby in the womb.</p>

<h2><strong>What Your Doctor May Suggest After You Undergo Pregnancy Tests </strong></h2>

<p>Your doctor will ask you several questions about the medical history of your family, any medications, or supplements that you are taking, fetal movements, sleep patterns, your diet, workout routine during pregnancy, symptoms of preeclampsia, and preterm labor, if any. You must immediately seek medical help if you experience these symptoms during pregnancy:</p>

<h3><strong>Vaginal Bleeding </strong></h3>

<p>If you experience any vaginal bleeding during your late pregnancy months, it may be a life-threatening case. Such a condition is termed Abruptio placentae. Although such a condition may happen at any time, it is usually quite common during the months of your third trimester. Make sure to undergo a 20 week scan immediately if you experience this symptom.</p>

<h3><strong>Abdominal Pain </strong></h3>

<p>Abdominal pain may be due to gas, false labor, or even due to constipation. Although these conditions may cause a bit of discomfort, they should not cause too much pain. However, if you experience severe pain, it may be due to a urinary tract infection or other underlying problem. Consult your doctor as soon as possible if you experience severe pain during your late pregnancy months.</p>

<h3><strong>Fever Or Shivering </strong></h3>

<p>Experiencing fever or shivering during pregnancy may be caused due to the constant changes happening in your body. However, if you have a temperature of more than 100&deg;F, you must immediately seek medical help. Fever during these stages may indicate an issue with your baby&rsquo;s health. In fact, if unusual symptoms accompany your fever, then it is high time you got a check-up done!</p>

<h3><strong>Nausea </strong></h3>

<p>You may feel nauseous or sick two days or one day before your labor pain begins. However, others may experience this condition during active labor. Thus, this is because the digestion flow halts during labor. If a mother has just eaten and is already feeling full during the beginning of labor, she may feel nauseous. However, extreme nausea may also indicate other underlying problems. Make sure to get in touch with your doctor before the situation worsens!</p>

<h3><strong>Blurring Of Vision </strong></h3>

<p>Experiencing a blurry vision can turn out to be quite common during pregnancy. Although this is not a sign of miscarriage, an unexpected or a sudden change in your vision, primarily during pregnancy, can signify a grave issue. A few of the problems include gestational diabetes. Apart from that, the risk of experiencing a condition known as preeclampsia may also be increased. Therefore, consider seeking an appointment if you observe such sudden changes.</p>

<h3><strong>Burning Sensation And Pain During Urination </strong></h3>

<p>This condition may indicate the presence of a urinary tract infection. The constant discomfort and pain may range from mild to severe. Therefore, it is recommended that you visit your doctor and get the condition treated as soon as possible.</p>

<h3><strong>Fluid Discharge From The Vagina </strong></h3>

<p>A fluid discharge is usually normal, and it may seem to get a bit heavier as your pregnancy phase slowly progresses. In fact, a heavy discharge during your third trimester could mean early labor. Therefore, it is usually best to seek medical help before your labor pain worsens.</p>

<h3><strong>Extreme Swelling Or Pain In Any Part Of The Body </strong></h3>

<p>As your delivery date comes nearer, you may experience swelling in your ankles or legs. In fact, a few of your body parts may appear puffy or swollen. Such a condition is termed edema. You may also experience swelling on your face or hands. However, if you experience any sort of pain in the swollen regions, it could indicate a grave health condition. If the swelling or pain does not seem to go away, get it checked immediately.</p>

<h3><strong>Continuous Headache </strong></h3>

<p>Usually, a pregnant woman may experience headaches due to stress or poor posture. Since you will be carrying additional weight on your tummy, your posture may change. However, more prolonged and severe headaches may indicate the presence of preeclampsia, a condition that can raise your blood pressure to extreme levels, especially during pregnancy.</p>

<h2><strong>Conclusion </strong></h2>

<p>Undergoing a list of scans during pregnancy during a stage where your body may be vulnerable to numerous health problems can help you prevent many life-threatening conditions. Early treatment can ensure the healthy delivery of your baby. Besides, it may also help you avoid any issues post-partum.</p>

<p>It is usual for you to be anxious at the time of tests or scans during pregnancy. However, this is undertaken only for the healthy development of your baby. Your doctor may suggest a few supplements or medicines that can help you keep your health in check. It is advised that you go for a check-up once every four to six weeks!</p>

<h3>References</h3>

<ol>
	<li>Jabaz D, Abed M. (2022). Sonography 2nd Trimester Assessment, Protocols, And Interpretation. NCBI</li>
</ol>

<p> </p>


<p>Pregnancy in itself is exciting and can become even more joyful with the news of twins. But it also comes with increased risks for complications like premature birth, even if not profound. While there is a rush of many emotions, we understand you want to be as aware as possible about everything. This is why we have compiled a list of common complications that you might face when pregnant with twins or more than one baby. </p>

<p><strong>Premature Delivery  </strong></p>

<p>Premature delivery is the most commonly faced complication associated with twins or triplets. Almost half the twins are born early, which often leads to some health-related problems in babies.  </p>

<p>Lack of healthy red blood cells from too little iron can lead to premature birth. It is called iron deficiency anaemia, making it essential for you to add iron to your diet as recommended by your doctor. </p>

<p><strong>Diabetes </strong></p>

<p>There is a higher probability of having diabetes when expecting twins or triplets, also called Gestational diabetes. It is essential to disclose your medical history and family history for the doctor to check for signs of gestational diabetes. If needed, your doctor might prescribe a glucose tolerance test to check for signs of gestational diabetes by assessing everything. </p>

<p><strong>Underweight </strong></p>

<p>More than half of twins are born underweight, weighing less than 5 1/2 pounds. These babies are also more prone to health problems when compared to babies born alone. Conditions such as vision and hearing loss and mental disabilities are commonly seen in these babies. </p>

<p><strong>Preeclampsia </strong></p>

<p>High blood pressure, swelling, headache, and vision-related challenges are regular in multiple-pregnancy and are called preeclampsia. However, if not treated on time and properly, preeclampsia can end up depriving your baby of oxygen and nutrients while also posing a serious risk to your organs. </p>

<p><strong>Sensations of pain and tingling </strong></p>

<p>Sensations of pain and tingling in the leg and lower-back are common during multiple pregnancies but are not considered dangerous. Taking certain precautions like wearing shoes that fit you properly and are comfortable can make the real difference.  </p>

<p><strong>Miscarriage </strong></p>

<p>No matter how heart-breaking it sounds but miscarriage also has higher chances when pregnant with twins and is also called vanishing twin syndrome. This syndrome is due to chromosomal problems that happen during fertilization. </p>

<p><strong>Healthy Lifestyle - the solution to everything </strong></p>

<p>Eating nutritious food, taking enough rest and regularly visiting the doctor are important steps for any pregnant woman to take towards a healthy pregnancy.  </p>

<p>These steps are especially important during multiple pregnancies. Expecting twins means additional dietary needs as you now have to eat for three humans. If your diet is not proper or nutritious, it can lead to problems that can be dangerous for the babies and you. And we know that as a mother, you don&#39;t want to leave anything to chance. </p>


<p style="text-align:justify">Diabetes happens when the blood glucose levels in a human body keep fluctuating and the body becomes incapable of producing insulin. Whether you have been recently diagnosed or have been fighting this silent disease for quite a long time, you can still live your best life if you have a proper understanding and awareness of this disease. In this article, we will discuss about the common symptoms of diabetes, the types of diabetes and how to manage diabetes at home.</p>

<h2><strong>Symptoms of Diabetes </strong></h2>

<p>Some of the common symptoms of diabetes are as follows:</p>

<ul>
	<li>
	<p>Using the toilet frequently, especially at night</p>
	</li>
	<li>
	<p>Feeling excessive thirst</p>
	</li>
</ul>

<ul>
	<li>
	<p>Feeling lethargic and drowsy throughout the day</p>
	</li>
	<li>
	<p>Losing weight continuously</p>
	</li>
	<li>
	<p>Cuts and wounds heal slowly</p>
	</li>
	<li>
	<p>Blurred vision</p>
	</li>
	<li>
	<p>Dry mouth</p>
	</li>
</ul>

<ul>
	<li>
	<p>Kussmaul breathing</p>
	</li>
	<li>
	<p>Excessive hunger even after having full meals</p>
	</li>
</ul>

<p>If you experience any of the above symptoms, it&#39;s recommended that you consult a doctor so that they can diagnose whether you have diabetes or not.</p>

<h2><strong>Common Types of Diabetes</strong></h2>

<p>Diabetes can happen to anyone and at any age. Here are some of the common types of diabetes:</p>

<h3>1. Type 1 Diabetes</h3>

<p>The human body stops producing natural insulin and that leads to excess production of sugar in your blood. You can inject insulin via syringe, pump, or pen after consulting a doctor. With regular monitoring of blood sugar levels and insulin injections, you can easily control your diabetes in this condition.</p>

<h3>2. Type 2 Diabetes</h3>

<p>This type of diabetes is commonly diagnosed in people who are above 45 years of age. In this condition, the human body is capable of producing insulin but is incapable of using it efficiently. You can control this stage by taking medicines prescribed by your Endocrinologist and by consuming fewer carbohydrates, investing ample time in exercising, eating healthy, and managing stress levels perfectly.</p>

<h3>3. Prediabetes</h3>

<p>One can consider this as a borderline and a stage before type 2 diabetes. The slightly higher levels of blood sugar can be taken as warning signs. One can effortlessly control this stage and avoid getting diagnosed with type 2 diabetes only by eating well, taking prescribed medicines by the doctor, indulging in physical activities, and making some major lifestyle changes.</p>

<h3>4. <a href="http://Gestational Diabetes Mellitus in Pregnancy (mylofamily.com)">Gestational Diabetes</a></h3>

<p>This occurs during pregnancy and doesn&rsquo;t last long if the pregnant woman takes good care of her health. If the pregnant woman does not maintain a healthy body weight or does not invest enough time in exercising then the possibility and risk of gestational diabetes will last longer. Do not delay the treatment of diabetes during pregnancy because it makes the body of the mother insulin-resistant. 90% of the mothers bid goodbye to gestational diabetes after the birth of the child just because they eat appropriately and live a healthy lifestyle.</p>

<h2><strong>How to Manage Diabetes Naturally?</strong></h2>

<p>Here are some things you can adopt in your daily routine to manage diabetes naturally at home:</p>

<ul>
	<li>Keep an eye on what&#39;s at the end of your fork. Learn to count carbohydrates and portion sizes so that you eat within a limit. Try to eat well-balanced meals at small intervals and coordinate them with your medications. Avoid sugar-sweetened beverages.</li>
	<li>Regular physical exercise can help your muscles utilise excess sugar in your body for energy and use insulin more efficiently. Discuss with your doctor about an exercise schedule and stay hydrated.</li>
	<li>If you&#39;re constantly stressed it may elevate your blood sugar levels. So, try to reduce stress in your life as much as possible. You can practice relaxation techniques like mindfulness, yoga and breathing exercises to manage your stress and diabetes.</li>
	<li>Make sure to monitor your blood sugar levels every day. Keeping an eye on your blood sugar levels regularly will help you know when to make changes in your diet, help you avert any unforeseen circumstances and seek medical attention timely.</li>
</ul>

<p>You can effortlessly manage your diabetes with the help of a doctor and a certified nutritionist as they both can guide you well about what to eat, and physical exercises, and will help you deal with this. If you avoid taking the right treatment and care for this life-threatening disease then it can seriously damage other organs of your body like kidneys, eyes, heart, and feet.</p>

<p style="text-align:center"><iframe frameborder="0" height="167" scrolling="no" src="https://www.youtube.com/embed/1gQ2r1XGjJ4" title="YouTube video player" width="315"></iframe></p>


<p><span style="font-size:16px">No sweets for two! This a gentle reminder to all mothers-to-be that you may have high blood sugar levels during pregnancy. Read on to know why!</span></p>

<h2><strong>Overview</strong></h2>

<p><span style="font-size:16px">Gestational (during pregnancy) diabetes mellitus (high blood sugar levels) is a hormonal disorder causing insulin resistance and high blood sugar levels during pregnancy. It is more often seen in:</span></p>

<ul>
	<li><span style="font-size:16px">Pregnant women above 25 years of age</span></li>
	<li><span style="font-size:16px">Previous history of &gt;4.5kg baby birth</span></li>
	<li><span style="font-size:16px">Pre-pregnancy incidence of high blood sugar levels</span></li>
	<li><span style="font-size:16px">Lack of physical exercise</span></li>
	<li><span style="font-size:16px">Overweight or obesity</span></li>
	<li><span style="font-size:16px">Polycystic ovarian disease</span></li>
	<li><span style="font-size:16px">Asian and American races</span></li>
</ul>

<p><span style="font-size:16px">The foetus may or may not get affected by gestational diabetes as it has its own insulin to counteract excess sugar from the mother&#39;s blood. During delivery, some babies may continue to produce more insulin and return to normal levels a few hours or days later. However, some may need to be administered glucose to balance the insulin levels. Treatment is targeted towards managing blood sugar levels and regular monitoring until 1-2 years post delivery.</span></p>

<h2><strong>Gestational Diabetes Symptoms</strong></h2>

<p><span style="font-size:16px">Gestational diabetes during pregnancy does not show any major symptoms. However, it may manifest itself in the following ways:</span></p>

<ul>
	<li><span style="font-size:16px">Increased thirst and dehydration</span></li>
	<li><span style="font-size:16px">Increased frequency of urination, especially at night</span></li>
	<li><span style="font-size:16px">Some pregnant women may feel hungrier than usual.</span></li>
</ul>

<p><span style="font-size:16px">If you experience any such symptoms during your pregnancy, inform your gynaecologist or physician immediately.</span></p>

<h2><strong>Gestational Diabetes Diagnosis</strong></h2>

<ul>
	<li><span style="font-size:16px">All pregnant women, especially those at risk of gestational diabetes, must undergo a primary check-up in the first trimester of pregnancy to rule out high blood sugar levels as a precautionary measure. You may never be aware of it unless symptoms develop later on or during routine pregnancy tests and scans.</span></li>
	<li><span style="font-size:16px">Diagnosis may also be made when a pregnant woman shows signs and symptoms of gestational diabetes mellitus. A blood sample is collected to determine blood sugar levels.</span></li>
	<li><span style="font-size:16px">The growth of the baby is monitored through ultrasonography.</span></li>
	<li><span style="font-size:16px">A glucose tolerance test or gestational diabetes test may also be conducted to analyse how your body reacts to a sudden sugar rush within a time frame. Here, you will be given a glucose-rich sweet drink and a blood test will be done an hour later to determine how much sugar is left in the blood. It will also help your doctor know if insulin is present in appropriate amounts in your body.</span></li>
</ul>

<h2><strong>Gestational Diabetes Sugar Levels Chart</strong></h2>

<table border="1" cellpadding="1" cellspacing="1" style="width:500px">
	<tbody>
		<tr>
			<td style="text-align:center"><span style="font-size:16px"><strong>Sr. No</strong></span></td>
			<td style="text-align:center"><span style="font-size:16px"><strong>Scenario</strong></span></td>
			<td style="text-align:center"><span style="font-size:16px"><strong>Values in mg/dL</strong></span></td>
		</tr>
		<tr>
			<td style="text-align:center"><span style="font-size:16px">1.</span></td>
			<td style="text-align:center"><span style="font-size:16px">Before a meal</span></td>
			<td style="text-align:center"><span style="font-size:16px">95 or less</span></td>
		</tr>
		<tr>
			<td style="text-align:center"><span style="font-size:16px">2.</span></td>
			<td style="text-align:center"><span style="font-size:16px">1 hour after a meal</span></td>
			<td style="text-align:center"><span style="font-size:16px">140 or less</span></td>
		</tr>
		<tr>
			<td style="text-align:center"><span style="font-size:16px">3.</span></td>
			<td style="text-align:center"><span style="font-size:16px">2 hours after a meal</span></td>
			<td style="text-align:center"><span style="font-size:16px">120 or less</span></td>
		</tr>
	</tbody>
</table>

<h2><strong>Gestational Diabetes Treatment</strong></h2>

<p><span style="font-size:16px">Treatment is aimed at controlling blood sugar levels along with blood pressure with safe medications and insulin shots as needed. You will have to undergo regular check ups during pregnancy as well as after delivery. The baby may be administered glucose at birth if found to be in distress.</span></p>

<p><span style="font-size:16px">Other important things to consider:</span></p>

<ul>
	<li><span style="font-size:16px">Regular exercise to promote insulin sensitivity and reduce the accumulation of fats due to excess glucose; exercising in the form of antenatal yoga, breathing exercises, and simple walking for a minimum of 20-30 minutes are advisable.</span></li>
	<li><span style="font-size:16px">Nutritious diet: It is advisable to have smaller, more frequent meals (2-3 times a day with intermittent snacks) to minimise sudden sugar rush with heavy meals.</span></li>
</ul>

<p><span style="font-size:16px">Here is a list of foods to eat to counter gestational diabetes:</span></p>

<ol>
	<li><span style="font-size:16px">Natural, low sugar content, like fruits and raisins, are recommended more than sugar-based biscuits, candies, and cakes. </span></li>
	<li><span style="font-size:16px">One must include more fibre in the diet in the form of vegetables and whole grains. </span></li>
	<li><span style="font-size:16px">Saturated fats in fried foods must be avoided.</span></li>
	<li><span style="font-size:16px">Maintain good hydration levels to prevent dehydration and undue fatigue.</span></li>
</ol>

<h2><strong>Prevention of Gestational Diabetes Mellitus</strong></h2>

<p><span style="font-size:16px">You can prevent the occurrence of diabetes during pregnancy by following a few simple steps:</span></p>

<ul>
	<li><span style="font-size:16px">Plan your pregnancy in advance and prepare accordingly.</span></li>
	<li><span style="font-size:16px">Start with regular exercises like walking, cycling, swimming, or any fitness activity of your choice.</span></li>
	<li><span style="font-size:16px">Maintain a healthy lifestyle with a nutritious diet and fluids.</span></li>
	<li><span style="font-size:16px">Practise breathing techniques to maintain body homeostasis (regular functioning of the body).</span></li>
</ul>

<h2><strong>Complications of Gestational Diabetes Mellitus During Pregnancy</strong></h2>

<ul>
	<li><span style="font-size:16px">Women may continue to have high blood sugar levels and suffer from type 2 diabetes mellitus post delivery. You may need to continue medications and insulin administration for some time.</span></li>
	<li><span style="font-size:16px">Babies born to women with gestational diabetes mellitus are at a higher risk of developing type 2 diabetes at a later age with more significant symptoms.</span></li>
	<li><span style="font-size:16px">You may also have high blood pressure along with gestational diabetes during pregnancy known as preeclampsia<strong>.</strong> High sugar levels increase the flow and pressure of blood. Medicines will be started to control blood pressure levels.</span></li>
	<li><span style="font-size:16px">One may suffer from jaundice (yellow discolouration of the skin) during pregnancy or after delivery.</span></li>
	<li><span style="font-size:16px">The infant born may sometimes require glucose intravenously and close monitoring in an Intensive Care Unit (ICU) for a few days.</span></li>
	<li><span style="font-size:16px">The risk of obesity in mothers and children increases substantially due to the accumulation of excess fats in the body.</span></li>
</ul>

<p><span><span style="font-size:16px">You can also adopt a healthier lifestyle during pregnancy with Mylo Pregnancy Care Routine which includes pregnancy yoga sessions, Garbha Sanskar sessions and consultation with gynecologists and health coaches. It can help you manage your weight trimester wise, reduce backache and leg swelling, boost energy levels and manage gestational diabetes and BP.  </span></span></p>

<h2><strong>Bottom Line</strong></h2>

<p><span style="font-size:16px">Pregnancy is a sweet time to be cherished but sugar sweetness in your diet needs to be controlled during pregnancy to prevent gestational diabetes mellitus. High blood sugar levels during pregnancy occur due to an imbalance in pregnancy hormones. Minor symptoms, like increased thirst and urination, may be experienced.</span></p>

<p><span style="font-size:16px">A blood test and glucose tolerance test during the first trimester of pregnancy may confirm gestational diabetes mellitus. Regular monitoring and medicines may help overcome diabetes during and after delivery. The unborn foetus may or may not get affected. Women should maintain fitness, diet, and hydration before planning a pregnancy to prevent gestational diabetes mellitus.</span></p>

<h3><span style="font-size:14px">References</span></h3>

<ol>
	<li><span style="font-size:16px">CDC. (2021). Gestational Diabetes.</span></li>
	<li><span style="font-size:16px">American Diabetes Association. Gestational Diabetes</span></li>
</ol>


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